No abstract

Impact of human action is being felt in all ecosystems. Traditionally, urban landscapes and agricultural fields have been considered to be dominated by humans, but human alteration has also been substantial in tropical forests. The common forms of acute forest disturbance are ones that involve logging selectively or clear-cutting, allowing forest to regenerate by natural means. In contrast to the acute forms of disturbance, the chronic form of disturbance, which is subtle and slowly creeping, but equally destructive, is a much less-recognized problem. In the chronic form of disturbance people remove only a small fraction of forest biomass at a given time, generally as head-loads of firewood, or in the form of fodder, leaf litter and other non-timber forest products (NTFPs). The problem with the chronic form of forest disturbance is that plants or ecosystems often do not get time to recover adequately, because the human onslaught never stops, and can cause adverse changes in the forest, even if rates of biomass removal are within the carrying capacity of the forest. In a similar fashion, the cumulative effects of low but chronic exposure to air pollution are now cause for concern all over the planet (Pitelka 1994). In the case of chronic forest disturbance, the effect somewhat resembles that of persistent insect herbivory at a moderate scale. Fuelwood, which is still the main source of cooking energy in most developing countries, is reported to be in under supply for 1.4 thousand million people, and these may rise to 2.5 thousand million by 2010 (Food and Agriculture Organization 1994). Therefore, more areas are likely to come under regimes of chronic disturbance in the next century.

High human papillomavirus (HPV) prevalence and low HPV vaccine uptake are significant public health concerns. Disparities in HPV-associated cancers and HPV vaccine uptake rates suggest the need for additional research examining factors associated with vaccine acceptance. This study assessed HPV awareness and knowledge and identified sociodemographic characteristics associated with HPV knowledge at the population level. Data from adult men ( n = 1,197) and women ( n = 1,906) who participated in the National Cancer Institute's 2014 Health Information National Trends Survey were analyzed. Multivariable regression was used to identify predictors of four HPV knowledge categories: (1) general knowledge, (2) cervical cancer knowledge, (3) "other" cancer knowledge (i.e., anal, oral, penile), and (4) vaccine knowledge. Significant gender differences in awareness and knowledge of HPV and the HPV vaccine were revealed. Most participants (>70%) knew that HPV could cause cervical cancer, but fewer (14.9% to 31.5%) knew of the association between HPV and "other" cancers. Women were more likely to report that a health care provider recommended vaccination. Significant predictors of general HPV and HPV vaccine knowledge included gender, education, income, race, and other sociodemographic characteristics. Age and income predicted cervical cancer knowledge. Knowledge of "other" HPV-associated cancers was predicted by having a child under 18 years in the household and relationship status. HPV knowledge appears to be socially patterned. Low HPV knowledge among men and some racial minorities suggests a need for further intervention. Health education should emphasize risks of noncervical HPV-associated cancers. Patient-provider communication that includes education, counseling, and clear recommendations favoring vaccination may improve uptake.

No abstract

This study examined the impact of acculturative stress and social support (family and friend) on psychological distress among Asian American immigrants and three Asian sub-groups (Vietnamese, Filipino and Chinese) immigrants. The National Latino and Asian American Study 2002-2003 dataset was used. The study findings were: (1) among all Asian American immigrants high language barrier and discrimination stress were associated with increased level of psychological distress, but similar association was not present for legal stress; (2) among all Asian American immigrants high family social support decreased the levels of psychological distress, and in addition, friend social support buffered the relationship of discrimination and psychological distress; and (3) among Vietnamese, Filipino, and Chinese, differential association of social support and acculturative stress to psychological distress were observed. These findings highlight the importance of social support among Asian American immigrants, while also paying attention to the variation that may exist between different sub-groups.